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1043876451
DARREN L TAYLOR
RACINE, WI
NPI
1043876451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 16157-132)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
DARREN L TAYLOR CSAC
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
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Mailing Address
DARREN L TAYLOR CSAC
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6744
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